2009 H1N1 Flu (Swine Flu) Information Reproduced from: http://www.cdc.gov/h1n1flu/ Centers for Disease Control and Prevention 1600 Clifton Rd Atlanta, GA 30333 800-CDC-INFO (800-232-4636) TTY: (888) 232-6348 24 Hours/Every Day www.cdc.gov

Why is 2009 H1N1 virus sometimes called “swine flu”? First, I'll begin by explaining what swine flu is. Swine flu is a respiratory disease of pigs caused by type A influenza viruses. Outbreaks of swine flu happen regularly in pigs. People do not normally get swine flu, but human infections can and do occur. Most commonly, human cases of swine flu happen in people who are around pigs, but it's possible for swine flu viruses to spread from person to person, also.

Symptoms of 2009 H1N1 Flu The symptoms of H1N1 Flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills, and fatigue. Some people have reported diarrhea and vomiting associated with swine flu, as well. In the past, severe illnesses, such as pneumonia and respiratory failure, as well as deaths, have been reported with swine influenza infection in people, as well. Like seasonal flu, H1N1 Flu may cause a worsening of underlying chronic medical conditions.

Severity of the Illness in People I'll now discuss the severity of H1N1 Flu illness in people. Similar to seasonal flu, swine flu in humans can vary in severity from mild to severe. Between 2005 until January 2009, 12 human cases of swine flu were detected in the United States with no deaths occurring. However, swine flu infection can be serious. In September 1988, a previously healthy 32-year-old pregnant woman in Wisconsin was hospitalized for pneumonia after being infected with swine flu, and she died eight days later. A swine flu outbreak in Fort Dix, New Jersey occurred in 1976 that caused more than 200 cases with severe illness in several people and one death.

Spread of 2009 H1N1 Flu to Humans Spread of swine flu can occur in two ways. The first way is through contact with infected pigs or environments contaminated with swine flu viruses. The second way is through contact with a person infected with a swine flu virus. Human-to-human spread of swine flu has also been documented and is thought to occur in the same way as seasonal flu. Influenza is thought to be spread mainly person-to-person through coughing or sneezing of infected people.

Medicines to treat 2009 H1N1 Flu Next, I would like to tell you about medicines that can be used to treat swine flu. CDC recommends the use of oseltamivir or zanamivir for the treatment and, alternatively, prevention of infection with these swine flu viruses. Antiviral drugs are prescription medicines, such as pills, liquids, or inhaler that fights against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and can make you feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick, specifically within two days of symptoms.

oseltamivir

People sick with 2009 H1N1 Flu is potentially contagious People with swine influenza infection should be considered potentially contagious as long as they are symptomatic, and possibly for up to seven days following the illness onset. Children, especially younger children, might potentially be contagious for longer periods.

2009 H1N1 Vaccine There is no vaccine available right now to protect against swine flu. * UPDATED INFORMATION INCLUDED AT THE END OF THIS PRESENTATION However, there are everyday actions that people can take to help prevent the spread of germs that cause respiratory illnesses like influenza.

Take these everyday steps to protect your health: • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.

Take these steps to protect your health: Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hand cleaners are also effective.

Protect your health: Try to avoid close contact with sick people. If you get sick with influenza, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.

• Avoid touching your eyes, nose, or mouth because germs can spread that way.

Now, I will move on to discuss what you should do if you get sick.

what you should do if you get sick. If you live in an area where swine flu infections have been reported, and if you become ill with influenza-like symptoms, including fever, body aches, runny nose, sore throat, nausea, or vomiting or diarrhea, you may want to contact your health care provider, particularly if you're worried about your symptoms. Your health care provider will determine whether influenza testing or treatment is needed

If you're sick you should stay home avoid contact with other people as much as possible to keep from spreading your illness to others.

Emergency Medical Care If you become ill and experience any of the following warning signs, seek emergency medical care.

In children, emergency warning signs that need urgent medical attention : Fast breathing or trouble breathing Bluish or gray skin color Not drinking enough fluids Severe or persistent vomiting Not waking up or not interacting Being so irritable that the child does not want to be held Flu-like symptoms improve but then return with fever and worse cough

In adults, emergency warning signs that need urgent medical attention : Difficulty breathing or shortness of breath Pain or pressure in the chest or abdomen Sudden dizziness Confusion Severe or persistent vomiting Flu-like symptoms improve but then return with fever and worse cough

People don't need to worry about eating or preparing pork People don't need to worry about eating or preparing pork. Swine influenza viruses are not spread by food. Eating properly handled and cooked pork products is safe.

2009 H1N1 Vaccine UPDATED INFORMATION Vaccines against novel influenza A (H1N1) virus infection are being produced using methods similar to those used for seasonal influenza vaccines. Licensure of vaccines against novel influenza A (H1N1) virus will be based on the same licensure standards used for seasonal influenza vaccines, as is done routinely each year when strains are changed in the seasonal vaccine. Both live, attenuated and inactivated influenza A (H1N1) 2009 monovalent vaccine formulations will be available initially; as with seasonal influenza vaccines, neither of these vaccines will contain adjuvants. The Food and Drug Administration (FDA) and WHO have selected A/California/07/2009 (H1N1) for use as the strain for the vaccines currently being manufactured.

2009 H1N1 Vaccine UPDATED INFORMATION When vaccine is first available, ACIP recommends that programs and providers administer vaccine to persons in the following five target groups (order of target groups does not indicate priority): pregnant women, persons who live with or provide care for infants aged <6 months (e.g., parents, siblings, and daycare providers), health-care and emergency medical services personnel, persons aged 6 months--24 years, and persons aged 25--64 years who have medical conditions that put them at higher risk for influenza-related complications More information at: http://www.cdc.gov/mmwr/preview/mmwrhtml/rr58e0821a1.htm

MORE INFORMATION ONLINE http://www.who.int/csr/disease/swineflu/en/index.html http://h1n1.nejm.org/ http://www.cdc.gov/h1n1flu/